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BLCK (11-0035)61065 Living Stone Dr 11-0035 Application description: Property Zoning: Application valuation: Applicant: cE - -t. Tl -0"--00 035 61065 LIVING STONE DR 764-270-999-44, -300234- WALL/FENCE MEDIUM HIGH DENSITY RES - 1375 Architect or Engineer: 0' BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA . 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 Contractor: SHEA HOMES, INC. 60800'TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 672285 VOICE (760) 777-70,12 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 61 Date: 1/10/11 v SAN z1 ZG; t ,MOaF��lf�rA -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' . I hereby affirm under penalty of per;ury hat I am licensed under provisions of Chapter 9 (commencing with- I hereby affirm under penalty of perjury one of the following declarations: n 3 of the us ss and Pro es onals Code, and my License is in full force and effect. Sectio 7000FIE5ntractor., _ I have and will maintain -a certificate of consent to self -insure for workers' compensation, as provided Liceose ss: License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate \ have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from,the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to, - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any . construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State agree that, if 1 shoulecome subject to th workers' o pensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 0 of the Labor ode,hal forthwithimpl with tho e p visions. ja `at that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: plicant: rany LI (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE RKERS'. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). iN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _ one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). - (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a.contractor(s) licensed pursuant to the Contractors' State License Law.). (=) I am exempt under Sec. ; B.&P.C. for this reason Date: Owner: • CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for . whose benefit work is performed under or pursuant to any permit issued as a result of this. application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the'work being vperformed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I cert"unty read this application and state that the above information is cor t. I agree to comply with all city anances and state laws relating to buildi co truction, and he deb aut rize representatives of thiter upon the,above-mentioned erty r in ection pur ses.ate:nature (Applicant or Agent.. Application Number 11-00000035 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 33.00 Plan Check Fee .00 Issue Date Valuation . . 1375 Expiration Date 7/09/11 Qty Unit Charge Per Extension BASE FEE 15:00 9.00 2.0000 HND BLDG 501-2,000 18.00 Special Notes and Comments 55 L.F. COMBO WALL 3' RETAINING, 6' GARDEN,, ORCO SYSTEM. 2010 CODES. THIS _ REPLACES'PERMIT # 05-5219 WHICH WAS BUILT IN WRONG LOCATION. ------ -------------_-_----------------------------------- Other Fees . . . . . BLDG,STDS ADMIN, (SB1473) 1.00 Fee summary Charged ---------- Paid, Credited ------- Due ----------------- Permit Fee Total ---------- 33.00 .00 .00 33.00" Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total` 34.00 .00 .00 34.00 Bin # City of La. Quinta Req'd Permit # Building & Safety Division e P.O. Box 1504,78-495 Calle Tampico Plan Sets La Quinta, CA 92253 - (760) 777.-7012 ,. Building Permit Application and Tracking Sheet,. , Project Address: 61065 Living Stone Drive Owner's Name: Shea Homes A. P. Number: Address: 60918 Desert Rose Drive Legal Description: Trilogy @ La Quinta Annex City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032f Plan Check Deposit , Address: 60918 Desert Rose Drive Project Description: Lot 44 - City, ST, zip: La Quinta, CA 92253 Orco Combo -Wall - 55 if x 6' & 3' Telephone: 760-777-6032 Plan Check Balance Energy Cates. State Lic. # : 640934 City Lic. Construction Flood plain plan Plans resubmitted Mechanical Arch., Engr., Designer:IAKI Grading plan �� 2nd Review, ready for corrections/issue Electrical 1 Subcontactor List Address: Called Contact Person City, ST, Zip: Telephone: p �W �}5 r ?t � �� e C�hy�'' Construction Type: Occupancy: State Lic. „k�" -',,[Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: V # Units: Telephone# of Contact Person` 760-777-6032 Estimated Value of Project: e APPLICANT: 00 NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections • _ Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up .• Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical 1 Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. r H.O.A. Approval • Plans resubmitted Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P. P. ' Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees